Hand and Wrist Surgery

Hand and wrist symptoms are common presentations to Dr Gavin Nimon at Glenelg Orthopaedic. There are a large number of conditions, that can cause a varied group of symptoms , and an easier way of thinking of these are by dividing them up into conditions that affect nerves supplying the hand, those that cause tendon issues ( ruptures, lacerations or catching) and those related to bones and joints such as breaks and dislocations, arthritis and ligament injuries. Then there is a handfulof unique conditions such as Dupuytren’s Contractures where the tissue in the palm contracts leading to inability to straighten the fingers. Below are some of the common conditions that Dr Gavin Nimon treats.

Image of person with sore hand

Surgery 

Hand and wrist surgery is a common part of Dr Nimon’s practice, with the most common procedure being Carpal Tunnel release. Whilst there are various methods of undertaking such a procedure, our preferred approach is usually undertaken under local anaesthetic alone, thus being safer in avoiding anaesthetic.

Large numbers of these procedures are performed each year by Dr Nimon and in 98% of cases (2014 audit) the results are dramatic, including a quick recovery and once again encouraging full use of the hand almost immediately.

In those patients who are concerned about having it done under local anaesthetic, a sedative procedure can be performed such that the patient goes off to sleep. Almost all patients who have the procedure done under a local anaesthetic would have it done again the same way.

Other Hand Surgical Procedures Include:-

  • Release of other tendons such as in DeQuervain’s tenosynovitis (a painful condition involving the region at the base of the thumb).
  • More extensive procedures involving the release of contractures of the fingers such as in Dupuyten’s contracture (an inherited condition involving the palmar fascia).
  • Fractures of the wrist and scaphoid requiring surgical repair or splinting.
  • Treatment of arthritis.

 

DeQuervain’s tenosynovitis

Thumb Surgery

One of the more common regions affected by arthritis is at the base of the thumb (carpometacarpal arthritis or cmc joint), and this can have highly successful results.

 

Common Hand, Wrist and Elbow Conditions

Carpal and Cubital Tunnel

Nerve entrapments are common presenations to Dr Nimon. The most common condition treated is carpal tunnel but ulnar nerve entrapment at the elbow (cubital tunnel) also is an issue.

 

Trigger Digits and DeQuervain's

Tendons can become inflamed and catch in sheaths leading to  pain or loss of motion. This is a common issue in the hand and leads to trigger digits or deQuervain’s tenosynovitis.

Breaks and Ligament Injuries

Probably some of the most common breaks that can affect the body are those of the wrist. A fall onto the wrist can also damage the ligaments that join the carpal bones, and either can lead to arthritis later in life. or elbow. Thus if pain is not settling, you may wish to seek advice.

Post Operative Information

Can’t find that information sheet Dr Nimon gave you on discharge, Here are copies for you:-